| Date of birth: | 1990 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 860103 |
| Photo date: | Dec 23, 2010 |
| Inmate status: | REVOKED |
| Booking number: | 00567336 |
| Booking location: | Polk County, WI |
| Statute: | 943.20(1)(A) M |
| County: | BURNETT |
| Convicted: | Sep 30, 2010 |
| Case number: | 09CF77 |